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NPI Code Detail

MEDICARE: HANNAH TAYLOR LOCKWOOD M.A., BCBA, LBA

MEDICARE:   HANNAH TAYLOR LOCKWOOD  M.A., BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-24-74527NC

General Provider Information

NPI Number : 1447905831
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH TAYLOR LOCKWOOD M.A., BCBA, LBA
Provider Business Mailing Address
First Line : 1641 MATTHEWS TOWNSHIP PKWY
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-5927
Country : US
Telephone Number : 704-771-1470
Fax Number :
Provider Business Practice Location Address
First Line : 1641 MATTHEWS TOWNSHIP PKWY
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-5927
Country : US
Telephone Number : 704-771-1470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2022
Last Update Date : 08/23/2024

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Directions to “ HANNAH TAYLOR LOCKWOOD M.A., BCBA, LBA” Practice Location

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